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远程医疗干预措施在老年人中的应用:系统评价。

Telemedicine interventions for older adults: A systematic review.

机构信息

Gulhane Faculty of Medicine & Gulhane Training and Research Hospital, Department of Geriatrics, University of Health Sciences, Ankara, Turkey.

出版信息

J Telemed Telecare. 2024 Feb;30(2):305-319. doi: 10.1177/1357633X211058340. Epub 2021 Nov 26.

Abstract

INTRODUCTION

Telemedicine may help improve older adults' access, health outcomes, and quality of life indicators. This review aims to provide current evidence on the effectiveness of telemedicine in the aged population.

METHOD

A systematic literature search was conducted in PubMed, Google Scholar, and Web of Science electronic databases between January 2015 and September 2021 using the keywords "telemedicine" or "telehealth" and "older people" or "geriatrics" or "elderly." The articles were classified under three headings according to the purposes: feasibility, diagnosis and management of chronic diseases, and patient satisfaction.

RESULTS

A total of 22 articles were included. Across most disciplines, evidence has shown that telemedicine is as effective as usual care, if not more so, in the feasibility, chronic disease management, and patient satisfaction of the elderly. However, a few studies reported challenges such as difficulty with technology, hearing problems, and the inability to perform hands-on examinations for physicians.

CONCLUSION

Findings from this review support the view that health care providers can use telemedicine to manage elderly individuals in conjunction with usual health care. However, future research is needed to eliminate barriers to increasing telemedicine use among older adults.

摘要

简介

远程医疗可能有助于改善老年人的就医机会、健康结果和生活质量指标。本综述旨在提供关于远程医疗在老年人群体中有效性的最新证据。

方法

在 2015 年 1 月至 2021 年 9 月期间,我们在 PubMed、Google Scholar 和 Web of Science 电子数据库中使用“远程医疗”或“远程保健”和“老年人”或“老年病学”或“老年人”等关键词进行了系统文献检索。根据目的,将文章分为三类:可行性、慢性病的诊断和管理以及患者满意度。

结果

共纳入 22 篇文章。在大多数学科中,证据表明,远程医疗在老年人的可行性、慢性病管理和患者满意度方面与常规护理一样有效,如果不是更有效的话。然而,一些研究报告了一些挑战,如技术困难、听力问题以及医生无法进行实际检查。

结论

本综述的结果支持这样一种观点,即医疗保健提供者可以使用远程医疗与常规医疗一起管理老年患者。然而,需要进一步的研究来消除老年人中增加远程医疗使用的障碍。

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